Individual provider Active NPI

Sanchayita Tripathy, MD

  • Allergy Physician
  • Rolla, MO
National Provider Identifier
1821046020
Registry record updated May 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
107174 Issued in MO
Practice address
509 E 10TH St
Rolla, MO 65401-3302
Phone
(573) 368-7000
Fax
(574) 364-6570
NPI assigned
May 4, 2006
Last updated
May 3, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy Physician 207KA0200X 107174 MO Primary

Addresses

Primary practice location

509 E 10TH St
Rolla, MO 65401-3302

Mailing address

509 E 10TH St
Rolla, MO 65401-3302
Phone (573) 368-7000

Other identifiers 1

IdentifierTypeStateIssuer
207613001MedicaidMO

Other names 1

  • Dr. Ita Tripathy Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100824001227 MO Practitioner - Allergy/Immunology 4981728177 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PSF PLLCGroup PAC ID 1557265543, 98 clinicians

Practice addresses (Care Compare)

509 E 10TH St
Rolla, MO 65401-3302
Phone (573) 368-7000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.25 of 100Reported as group
Quality
86.03
Promoting interoperability
86
Improvement activities
40
Cost
73.15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
PSF PLLC CurrentSince May 16, 2022 Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

601 W Nifong Blvd
Ste 2B
Columbia, MO 65203
Phone (573) 446-4929

1233 Jefferson St
Jefferson Cty, MO 65109
Phone (573) 634-7000

1212 E State Route 72
Ste 3
Rolla, MO 65401
Phone (573) 368-7000

509 E 10th St
Rolla, MO 65401
Phone (573) 368-7000

1204 Winchester Dr
Sedalia, MO 65301
Phone (660) 827-7000

502 Burkarth Rd
Ste A
Warrensburg, MO 64093
Phone (660) 422-4280

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462233600000",
    "number": "1821046020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 E 10TH ST",
            "city": "ROLLA",
            "state": "MO",
            "postal_code": "654013302",
            "telephone_number": "573-368-7000",
            "fax_number": "574-364-6570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 E 10TH ST",
            "city": "ROLLA",
            "state": "MO",
            "postal_code": "654013302",
            "telephone_number": "573-368-7000",
            "fax_number": "574-364-6570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIPATHY",
        "first_name": "SANCHAYITA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-04",
        "last_updated": "2016-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "MO",
            "license": "107174",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207613001",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ITA",
            "last_name": "TRIPATHY",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rolla, MO

Sources for this page

Verify at the official NPI Registry.